The DOI matches its Crossref record; 70 of the 73 references it cites were found in a registry or an index.
A targeted approach to phosphoinositide-3-kinase/Akt/mammalian target of rapamycin-induced hyperglycemia
Abstract
Phosphoinositide-3-kinase/Akt/mammalian target of rapamycin (PI3K/Akt/mTOR) pathway inhibitors are a novel class of antineoplastic agent available for the treatment of various cancers. With improved cancer outcomes and survival, individuals are exposed to these antineoplastic therapies for longer periods of time and therefore, the consideration of adverse effects is of increasing importance. The PI3K/Akt/mTOR signaling pathway plays a critical role in regulating cellular processes such as growth and proliferation, but also regulates the metabolic effects of insulin such as glucose uptake and glycogen synthesis. Therefore, hyperglycemia and insulin resistance are frequently reported adverse effects. There are no recent consensus guidelines on the management of hyperglycemia secondary to PI3K/Akt/mTOR inhibitors, with the latest guidelines produced in 2012 - when many of these agents were still undergoing development. As we now have a greater understanding of the underlying mechanisms and patterns in which hyperglycemia is induced and access to an increasing array of glucose-lowering agents, an update of the previous guidelines accommodating these understandings and developments is timely. This review will provide a comprehensive summary of the current literature with regards to the incidence of hyperglycemia associated with each agent, as well as the different pathways and mechanisms in which hyperglycemia is induced. Our proposed up-to-date strategy for the specific managemen…
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“Metformin is the first-line treatment of hyperglycemia secondary to mTOR inhibitor treatment, with insulin and other noninsulin treatments added in a stepwise fashion dependent on glucose level (225).”
From 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2025 (2025) · cites this paper as [225]
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Cites
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Alpelisib for PIK3CA -Mutated, Hormone Receptor–Positive Advanced Breast Cancer
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Cited by
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9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2025
American Diabetes Association Professional Practice Committee, ElSayed, N. A., McCoy, R. G., Aleppo, G., Bajaj, M., Balapattabi, K., Beverly, E. A., Briggs Early, K., Bruemmer, D., Echouffo-Tcheugui, J. B., et al. (2025) · Diabetes Care · doi:10.2337/dc25-s009 · Cited by 728
9. pharmacologic approaches to glycemic treatment: standards of care in diabetes—2026
American Diabetes Association Professional Practice Committee for Diabetes*, Bajaj, M., McCoy, R. G., Balapattabi, K., Bannuru, R. R., Bellini, N. J., Bennett, A. K., Beverly, E. A., Briggs Early, K., ChallaSivaKanaka, S., et al. (2026) · Diabetes Care · doi:10.2337/dc26-s009 · Cited by 263
mTOR Dysregulation, Insulin Resistance, and Hypertension
Stanciu, S. M., Jinga, M., Miricescu, D., Ștefani, C., Nica, R. I., Stănescu-Spînu, I.-I., Văcăroiu, I. A., Greabu, M., & Nica, S. (2024) · Biomedicines · doi:10.3390/biomedicines12081802 · Cited by 44
Cheung, Y.-M. M., Hughes, M. E., Harrod, J. C., Files, J. L., Kirkner, G., Buckley, L., Lin, N., Tolaney, S. M., McDonnell, M. E., & Min, L. (2022) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgac375 · Cited by 16
Self-citationUnlocking New Avenues in Breast Cancer Treatment: The Synergy of Kinase Inhibitors and Immunotherapy
Bravo, M. J., Burgos-Molina, A. M., García‐Aranda, M., Redondo, M., & Téllez, T. (2023) · Cancers · doi:10.3390/cancers15235499 · Cited by 12
Metadata
- Authors
- Cheung, Y.-M. M., McDonnell, M., & Hamnvik, O.-P. R.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- Hamnvik, Ole-Petter Riksfjord
- Venue
- Current Problems in Cancer
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 46
- Issue
- 1
- Pages
- 100776
- ISSN
- 0147-0272 (ISSN-L)
- OpenAlex
- W3183293567
- Cited by
- 21
- References
- 73
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 4 · 2023: 2 · 2022: 4
- FWCI
- 0.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Current Problems in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Keywords
- PI3K/AKT/mTOR inhibitors, hyperglycemia, insulin resistance, antineoplastic drug adverse effects, glucose-lowering agents, hyperglycemia management, glucose metabolism, insulin signaling
- MeSH terms
- Phosphoinositide-3 Kinase Inhibitors, Antineoplastic Agents, Humans, Hyperglycemia, Neoplasms, Phosphatidylinositols, Phosphatidylinositol 3-Kinases, Sirolimus, Protein Kinase Inhibitors, Proto-Oncogene Proteins c-akt, Phosphatidylinositol 3-Kinase, TOR Serine-Threonine Kinases
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